Dr. Emily R Shull
Optometrist
580 S Loop Rd Suite 200
Edgewood
, Kentucky 41017-3405
Dr. Emily R Shull
Optometrist
580 S Loop Rd Suite 200
Edgewood
, Kentucky 41017-3405
(859) 331-9040
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Emily R Shull
- 1945 Cei Drive
- Cincinnati, OH
- Zip : 45242-3311
- Fax : (859) 331-9040
- Phone : (513) 984-5133
Second Address
- Dr. Emily R Shull
- 580 S Loop Rd Suite 200
- Edgewood, KY
- Zip : 41017-3405
- Fax : (859) 331-9040
- Phone : (859) 331-9000
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Is Dr. Emily R Shull a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1681DT | KY |
| N | 152W00000X | Optometrist | 5574 T2488 | OH |
National Provider Identifier
| NPI | 1003836412 |
|---|---|
| Provider Name | Dr. Emily R Shull |
| First Address | Cincinnati, OH 45242-3311 |
| Second Address | Edgewood, KY 41017-3405 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2006 |
| Last Update Date | 18/12/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000484330 | BCBS FACET (01) | |
| 1406827 | (05) | OH |
| 2699567 | (05) | OH |
| P00405513 | RAILROAD MEDICARE (01) | KY |
| V07592 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.